BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    MECHANICAL (MANUAL) WHEELCHAIR

    MDR report key: 3941136 · Received July 17, 2014

    Report

    Report Number
    1525712-2014-03755
    Event Type
    Malfunction
    Date Received
    July 17, 2014
    Report Date
    June 11, 2014
    Manufacturer
    INVACARE TAYLOR STREET
    Product Code
    IOR
    Product Problem
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    MI, US
    Reporter Occupation
    MEDICAL EQUIPMENT COMPANY TECHNICIAN/REPRESENTATIVE

    Narratives

    Description of Event or Problem · 1

    "END USER HAD SOMEONE PUSHING THEM AT THE AMUSMENT PARK AND THE REAR BACK CANES STARTED COMING LOSE BUT THE COTINUED TO PUSH IT AND IT CAUSED THE HARDWARE TO BE DAMAGED AND IT CAN'T BE TIGHTENED."

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    418835 MECHANICAL (MANUAL) WHEELCHAIR 890.3850 IOR INVACARE TAYLOR STREET MVPJRS

    Patients

    Seq Age Sex Outcome Treatment
    1 Other